Coexistent gastric primary choriocarcinoma and adenocarcinoma

Choriocarcinomas are commonly gestational and intrauterine or gonadal in origin. Nongestational and extragonadal disease, especially in the stomach is extremely rare with a poorer prognosis and early metastasis. We herein describe a case of primary gastric choriocarcinoma with liver metastasis in a...

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Main Authors: Pai Muktha, Mathai Alka, Kumar Suneet, Prabhu Shivananda
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2009-10-01
Series:Indian Journal of Pathology and Microbiology
Subjects:
Online Access:http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2009;volume=52;issue=4;spage=537;epage=539;aulast=Pai
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author Pai Muktha
Mathai Alka
Kumar Suneet
Prabhu Shivananda
author_facet Pai Muktha
Mathai Alka
Kumar Suneet
Prabhu Shivananda
author_sort Pai Muktha
collection DOAJ
description Choriocarcinomas are commonly gestational and intrauterine or gonadal in origin. Nongestational and extragonadal disease, especially in the stomach is extremely rare with a poorer prognosis and early metastasis. We herein describe a case of primary gastric choriocarcinoma with liver metastasis in a 69-year-old male. The patient presented with abdominal pain and irregular bowel habits of one month duration. Both endoscopic and radiographic imaging revealed an ulcerated and necrotic circumferential tumor in the pyloric antrum of the stomach. The histopathologic findings of the resected tumor were that of an extensively necrotic and hemorrhagic neoplasm with combined choriocarcinomatous and adenocarcinomatous element. A strongly positive immunohistochemical staining for β- subunit of human chorionic gonadotropin (β-HCG) in the choriocarcinomatous component and a proper correlation with elevated serum β-HCG levels confirmed the diagnosis.
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spelling doaj.art-f0d417cb4284452688e9745cf3a54bb82022-12-21T19:40:46ZengWolters Kluwer Medknow PublicationsIndian Journal of Pathology and Microbiology0377-49290974-51302009-10-01524537539Coexistent gastric primary choriocarcinoma and adenocarcinomaPai MukthaMathai AlkaKumar SuneetPrabhu ShivanandaChoriocarcinomas are commonly gestational and intrauterine or gonadal in origin. Nongestational and extragonadal disease, especially in the stomach is extremely rare with a poorer prognosis and early metastasis. We herein describe a case of primary gastric choriocarcinoma with liver metastasis in a 69-year-old male. The patient presented with abdominal pain and irregular bowel habits of one month duration. Both endoscopic and radiographic imaging revealed an ulcerated and necrotic circumferential tumor in the pyloric antrum of the stomach. The histopathologic findings of the resected tumor were that of an extensively necrotic and hemorrhagic neoplasm with combined choriocarcinomatous and adenocarcinomatous element. A strongly positive immunohistochemical staining for β- subunit of human chorionic gonadotropin (β-HCG) in the choriocarcinomatous component and a proper correlation with elevated serum β-HCG levels confirmed the diagnosis.http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2009;volume=52;issue=4;spage=537;epage=539;aulast=PaiAdenocarcinomachoriocarcinomagastric tumorβ-human chorionic gonadotropinliver metastasis
spellingShingle Pai Muktha
Mathai Alka
Kumar Suneet
Prabhu Shivananda
Coexistent gastric primary choriocarcinoma and adenocarcinoma
Indian Journal of Pathology and Microbiology
Adenocarcinoma
choriocarcinoma
gastric tumor
β-human chorionic gonadotropin
liver metastasis
title Coexistent gastric primary choriocarcinoma and adenocarcinoma
title_full Coexistent gastric primary choriocarcinoma and adenocarcinoma
title_fullStr Coexistent gastric primary choriocarcinoma and adenocarcinoma
title_full_unstemmed Coexistent gastric primary choriocarcinoma and adenocarcinoma
title_short Coexistent gastric primary choriocarcinoma and adenocarcinoma
title_sort coexistent gastric primary choriocarcinoma and adenocarcinoma
topic Adenocarcinoma
choriocarcinoma
gastric tumor
β-human chorionic gonadotropin
liver metastasis
url http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2009;volume=52;issue=4;spage=537;epage=539;aulast=Pai
work_keys_str_mv AT paimuktha coexistentgastricprimarychoriocarcinomaandadenocarcinoma
AT mathaialka coexistentgastricprimarychoriocarcinomaandadenocarcinoma
AT kumarsuneet coexistentgastricprimarychoriocarcinomaandadenocarcinoma
AT prabhushivananda coexistentgastricprimarychoriocarcinomaandadenocarcinoma